Can acute mastitis continue breastfeeding?

Written by Zhang Wei Wei
Integrative Medicine
Updated on December 23, 2024
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Acute mastitis is an acute suppurative infection, which can be divided into three stages according to its cause and pathological process: acute inflammatory stage, abscess formation stage, and ulceration stage. Corresponding treatments are applied at each stage. During the acute inflammatory phase, antibiotics such as penicillin should be used to control the progression of inflammation. Once an abscess forms, the main measure is to incise and drain pus in a timely manner, while also taking medicine to clear heat and detoxify. In the ulceration stage, proactive dressing changes and wound cleaning are necessary, along with internal use of heat-clearing and detoxifying medications, and decoctions that promote pus drainage. In principle, breastfeeding should be temporarily halted, and a breast pump should be used regularly to extract milk, ensuring smooth milk flow and preventing stasis. Additionally, wearing a supportive bra can help lift the breasts, and moist heat should be applied to the affected area for 20 to 30 minutes, three to four times a day. Afterwards, the nipples should be cleaned with diluted saltwater. (The use of medications should be conducted under the guidance of a doctor.)

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Acute mastitis lactation method

One very important cause of acute mastitis is the stagnation of milk, so it is essential to maintain the flow of breast milk after the onset of mastitis. Therefore, it is generally recommended to continue breastfeeding. Before and after breastfeeding, wash the nipples and the baby's mouth to keep the nipple and areola area clean. During breastfeeding, try to empty the breast as much as possible, and after breastfeeding, you can apply heat, massage, and express any remaining milk by pressing from the surrounding area towards the nipple. You can also use a breast pump to extract the remaining milk, which can help prevent infection. However, some cases of mastitis may not be relieved by these methods and may still require further treatment at a regular hospital.

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Written by Li Li Jie
Obstetrics and Gynecology
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What should I do if I have acute mastitis?

If acute mastitis occurs, the first step is to promptly relieve the blockage of the milk ducts, ensuring smooth drainage of breast milk. This can be achieved through warm compresses, massage, and the use of a breast pump for most cases of acute mastitis. With early intervention, significant relief can usually be achieved. However, if the condition has been prolonged and is severe, it is advisable to visit a formal hospital. Prompt medical attention and diagnostic tests, such as a complete blood count and localized ultrasound, are needed to further understand the condition and administer appropriate antibiotic treatment. If an abscess forms in the breast, it should be surgically drained as soon as possible. Maintaining good hygiene, paying attention to a gentle diet, and adopting good living habits, such as going to bed early and waking up early, are also important.

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Written by Zhang Chao Jie
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Does acute mastitis require weaning?

In most cases of acute mastitis, it is not necessary to wean. However, weaning is mandatory when acute mastitis is accompanied by high fever, abscess, or nipple ulceration. Other than these conditions, it is often sufficient to temporarily stop breastfeeding from the inflamed breast for a few days. After treatment, breastfeeding can usually continue. During this temporary cessation, the milk from the affected breast should be expressed and discarded. Breastfeeding can continue with the other breast. Therefore, weaning is not easily recommended for acute mastitis.

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home-news-image
Written by Zhang Wei Wei
Integrative Medicine
1min 32sec home-news-image

Can acute mastitis continue breastfeeding?

Acute mastitis is an acute suppurative infection, which can be divided into three stages according to its cause and pathological process: acute inflammatory stage, abscess formation stage, and ulceration stage. Corresponding treatments are applied at each stage. During the acute inflammatory phase, antibiotics such as penicillin should be used to control the progression of inflammation. Once an abscess forms, the main measure is to incise and drain pus in a timely manner, while also taking medicine to clear heat and detoxify. In the ulceration stage, proactive dressing changes and wound cleaning are necessary, along with internal use of heat-clearing and detoxifying medications, and decoctions that promote pus drainage. In principle, breastfeeding should be temporarily halted, and a breast pump should be used regularly to extract milk, ensuring smooth milk flow and preventing stasis. Additionally, wearing a supportive bra can help lift the breasts, and moist heat should be applied to the affected area for 20 to 30 minutes, three to four times a day. Afterwards, the nipples should be cleaned with diluted saltwater. (The use of medications should be conducted under the guidance of a doctor.)

doctor image
home-news-image
Written by Cui Yu Rong
Breast Surgery
46sec home-news-image

Acute Mastitis Etiology

Acute mastitis generally refers to lactational mastitis, which can occur at any time during lactation, but is more common in the beginning stages of lactation in primiparous women. The most common causes of acute mastitis are milk stasis and bacterial invasion. Therefore, the prevention of acute mastitis mainly targets these two aspects. Besides enhancing the immune system of the mother, it is crucial to maintain good breastfeeding habits. This includes cleaning the nipples and the baby's mouth before and after feeding, keeping the nipple area clean, minimizing damage to the nipple area, and controlling bacterial invasion.